CTG classification

2015 revised FIGO guidelines on intrapartum fetal monitoring

Normal Suspicious Pathological
Baseline 110-160 bpm < 100 bpm
Reduced variability.
Variability 5-25 bpm Lacking at least one Increased variability.
characteristic of Sinusoidal pattern.
normality, but with no Repetitive* late or
pathological features prolonged decelerations
No repetitive*
Decelerations decelerations
for > 30 min (or > 20 min if
reduced variability).
Deceleration > 5 min
Low probability of High probability of
Interpretation No hypoxia/acidosis
hypoxia/acidosis hypoxia/acidosis
Immediate action to
correct reversible causes,
Action to correct
adjunctive methods, or if
No intervention reversible causes if
Clinical this is not possible
necessary to improve identified, close
management expedite delivery. In acute
fetal oxygenation state monitoring or adjunctive
situations immediate
methods
delivery should be
accomplished
*Decelerations are repetitive when associated with > 50% contractions.
Absence of accelerations in labour is of uncertain significance.